Provider Demographics
NPI:1740834647
Name:UMBRELLA OF PURPOSE AND HOPE LLC
Entity type:Organization
Organization Name:UMBRELLA OF PURPOSE AND HOPE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARELSA
Authorized Official - Middle Name:
Authorized Official - Last Name:BANUCHI
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:787-669-3815
Mailing Address - Street 1:PO BOX 228
Mailing Address - Street 2:
Mailing Address - City:ISABELA
Mailing Address - State:PR
Mailing Address - Zip Code:00662-0228
Mailing Address - Country:US
Mailing Address - Phone:787-669-3815
Mailing Address - Fax:
Practice Address - Street 1:300 AVE NOEL ESTRADA
Practice Address - Street 2:
Practice Address - City:ISABELA
Practice Address - State:PR
Practice Address - Zip Code:00662-3275
Practice Address - Country:US
Practice Address - Phone:787-669-3815
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-29
Last Update Date:2019-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty